Laurent E Wanner Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC020025 Issued in CA

Legal business name

LAURENT E WANNER CHIROPRACTIC INC

Practice address

1000 Northcrest Dr Ste 3
Crescent City, CA 95531-2317

Phone

(707) 465-4132

Fax

(707) 465-4132

NPI assigned

Oct 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laurent E Wanner, D.C.

Title

Doctor of Chiropractic

Phone

(707) 465-4132

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1639620685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHCREST DR STE 3",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312317",
            "telephone_number": "707-465-4132",
            "fax_number": "707-465-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHCREST DR STE 3",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312317",
            "telephone_number": "707-465-4132",
            "fax_number": "707-465-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENT E WANNER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "LAURENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "707-465-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC020025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0200250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Jean Lambson
• Lantern of Crescent City LLC
• Richard Hopkins Lantz, LMFT
• Sherry Marie Latham, A.A./PSYC TECH
• Nanette Latimer, PHARMACIST
• Laurent Wanner Chiropractic, Inc
• Laurent Wanner Chiropractic, Inc.
• Yelena Zaitseva Lavender, LCSW74244
• Beverley Lawrence, FNP
• Rebecca Ann Lawrence, LMFT, RN

• Chiropractor in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.